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NPI · 1508514456 · NPPES-sourced

Takahisa Koide PA

ActivePhysician Assistant
NPI Number
1508514456
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(208) 466-6567
License ID · PA-2208
Last Updated
Enumerated
Primary practice addressID · 83651-1707
700 Caldwell BlvdNampa, ID 83651-1707
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About this NPIWhat this record shows.

NPI 1508514456 is registered to Takahisa Koide PA, a Physician Assistant practising at 700 Caldwell Blvd in Nampa, Idaho. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Takahisa Koide PA has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Takahisa Koide PA accepts. To confirm in-network status with your specific health plan, contact Takahisa Koide PA directly at (208) 466-6567.

Frequently asked

Yes. NPI 1508514456 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 466-6567.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Takahisa Koide PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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